NPI | 1679524227 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: MN 52309) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 1565) |
Enumeration Date | 2006-05-16 |
Last Update Date | 2020-08-18 |